ARRHYTHMIA IN HOLTER 24 HOUR IN END STAGE RENAL DISEASE PATIENTS ON HEMODIALYSISAT BACH MAI HOSPITAL

Sat Chanthy1,, Trần Song Giang2, Nguyễn Hữu Dũng3
1 Hanoi Medical University
2 Vietnam National Heart Institute, Bach Mai Hospital
3 Nuclear Medicine and Oncology Center, Bach Mai Hospital

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Abstract

Background: Hemodialysis is popular of patients with renal failure; however, many adverse events are particularly associated with high rates of arrhythmias. Objectives: To describe the characteristics of heart rhythm disturbances and some related factors in renal failure patients undergoing dialysis at Bach Mai hospital. Subjects & methods: 51 patients with renal failure undergoing dialysis at Bach Mai hospital. Bach Mai hospital and did not have an acute desease. Results: Mean age was 54.4±12.7 years old; the proportion of women is higher than that of men (58.8% versus 41.2%); most had dialysis 5-10 years (35.3%) and more than 10 years (35.3%). The rate of arrhythmias on the 24-hour Holter EKG (80.4%): supraventricular arrhythmias (single atrial ventricular tachycardia: 41.2%; double cluster atrial ventricular tachycardia: 15.7%, sinus tachycardia ≥) 50%: 3.9%, paroxysmal supraventricular tachycardia: 5.8%, atrial fibrillation: 9.8%); ventricular arrhythmias (double-ventricular ventricular rate: 11.8%, tripartite: 7.8%, varied, complex: 7.8%, double beam, triple beam: 5.9%, R/T pattern: 3.9%, unstable ventricular tachycardia: 6.9%). The rate of arrhythmia is higher in the group with hypertension, diabetes, anemia. Conclusions: The high rate of arrhythmias in patients on hemodialysis is related to hypertension, anemia and electrolyte disturbances.

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References

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